Prospective bundled payments are growing in popularity for commercial and employer-sponsored plans because of their ability to support controlled, predictable pricing for common procedures.
For TPAs, they create an opportunity to extend new value to partners, open new lines of business, and generate more predictable revenue. Cedar Gate’s self-service Bundles Adjudication tools are purpose-built to help TPAs design, build, and implement successful bundles for clients.
Bundled payment programs aren’t one-size-fits-all, so Cedar Gate built a self-service bundled payment technology that offers full control over bundle configuration, execution, and performance monitoring. You can design and implement an array of bundles programs to meet the unique capabilities and needs of each individual client you serve.
Configure and deploy the bundled payment programs that clients need with simple tools to populate contracts and specifications, input unique pricing and payment rules, and customize things like eligibility, rules, bundle triggers, and actions. Tailor each program to the unique health needs, cost goals, and quality metrics of each employer without building from scratch.
Enhance your bundles capabilities without disrupting existing workflows through real-time API integration that seamlessly connects to your existing claims administration systems. Cedar Gate Bundles Adjudication automatically validates and scrubs claims for accuracy, then calculates payments to ensure accuracy — and it’s all reflected in your current core administration system.
Competitive, sustainable bundled payment models require ongoing collaboration between payers and providers, full transparency into bundle logic and outcomes, continuous monitoring, and optimization. Cedar Gate makes it possible to reduce the administrative complexity with tools that help you optimize bundled payment models in value-based care.
Expand bundled payment offerings across your employer client base.
Help employers adapt to the rapidly evolving healthcare landscape.
Deliver measurable value to employer clients with confidence.
Cedar Gate’s Bundles Team can help you explore how self-service bundled payment technology can simplify program design, configuration, adjudication, and optimization for your TPA business.
Fill out the form to connect with our Cedar Gate Bundles team today.
The right solution for your value-based journey is only a click away. Our modular technology is quickly and easily integrated into current systems and complements existing IT investments so that we can grow with you.
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